David Marrón-Gómez1, Ángel L Rodríguez-Fernández2, José A Martín-Urrialde3. 1. Medical Services, Atlético de Madrid SAD, Cerro del Espino S/N, 28221 Majadahonda, Madrid, Spain. 2. CEU-San Pablo University, Nursing and Physiotherapy Department, Crta. De Boadilla del Monte, Km: 5.300, Urb. Montepríncipe, 28668 Boadilla del Monte, Madrid, Spain. Electronic address: alrodfer@ceu.es. 3. CEU-San Pablo University, Nursing and Physiotherapy Department, Crta. De Boadilla del Monte, Km: 5.300, Urb. Montepríncipe, 28668 Boadilla del Monte, Madrid, Spain.
Abstract
OBJECTIVE: To compare the effect of two manual therapy techniques, mobilization with movement (WB-MWM) and talocrural manipulation (HVLA), for the improvement of ankle dorsiflexion in people with chronic ankle instability (CAI) over 48 h. DESIGN: Randomized controlled clinical trial. SETTING: University research laboratory. PARTICIPANTS: Fifty-two participants (mean ± SD age, 20.7 ± 3.4 years) with CAI were randomized to WB-MWM (n = 18), HVLA (n = 19) or placebo group (n = 15). MAIN OUTCOME MEASURES: Weight-bearing ankle dorsiflexion measured with the weight-bearing lunge. Measurements were obtained prior to intervention, immediately after intervention, and 10 min, 24 h and 48 h post-intervention. RESULTS: There was a significant effect × time (F4,192 = 20.65; P < 0.001) and a significant time × group interactions (F8,192 = 6.34; P < 0.001). Post hoc analysis showed a significant increase of ankle dorsiflexion in both WB-MWM and HVLA groups with respect to the placebo group with no differences between both active treatment groups. CONCLUSION: A single application of WB-MWM or HVLA manual technique improves ankle dorsiflexion in people with CAI, and the effects persist for at least two days. Both techniques have similar effectiveness for improving ankle dorsiflexion although WB-MWM demonstrated greater effect sizes.
RCT Entities:
OBJECTIVE: To compare the effect of two manual therapy techniques, mobilization with movement (WB-MWM) and talocrural manipulation (HVLA), for the improvement of ankle dorsiflexion in people with chronic ankle instability (CAI) over 48 h. DESIGN: Randomized controlled clinical trial. SETTING: University research laboratory. PARTICIPANTS: Fifty-two participants (mean ± SD age, 20.7 ± 3.4 years) with CAI were randomized to WB-MWM (n = 18), HVLA (n = 19) or placebo group (n = 15). MAIN OUTCOME MEASURES: Weight-bearing ankle dorsiflexion measured with the weight-bearing lunge. Measurements were obtained prior to intervention, immediately after intervention, and 10 min, 24 h and 48 h post-intervention. RESULTS: There was a significant effect × time (F4,192 = 20.65; P < 0.001) and a significant time × group interactions (F8,192 = 6.34; P < 0.001). Post hoc analysis showed a significant increase of ankle dorsiflexion in both WB-MWM and HVLA groups with respect to the placebo group with no differences between both active treatment groups. CONCLUSION: A single application of WB-MWM or HVLA manual technique improves ankle dorsiflexion in people with CAI, and the effects persist for at least two days. Both techniques have similar effectiveness for improving ankle dorsiflexion although WB-MWM demonstrated greater effect sizes.